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Korean J Spine Search

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Harvesting Iliac Bone Graft: Decreasing the Donor Site Morbidity with Reattaching of Cortical Cap
Young-Joon Kwon, M.D.
Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
원저 : 피질골 재부착을 통한 자가 장골 이식 채취
권영준
성균관대학교 의과대학 강북삼성병원 신경외과학교실
Abstract
Objective: Iliac bone graft is frequently used in various spinal procedures. However, the resulting defect in the iliac crest has been associated with many complications including chronic donor site pain. The aim of this study was to illustrate a modified technique for harvesting bone graft from the anterior iliac crest avoiding donor site complications and describe the retrospective outpatient follow-up results. Methods: Seventeen patients with cervical disc disease were included in this study. The technique with reattaching of the cortical cap was used for harvesting the iliac cancellous bone graft in all patients. All patients were followed about the occurrence of any complications after the iliac bone harvest. The mean follow-up was 5.8 months. Results: All patients had minimal postoperative pain at the donor site and none complained chronic pain. The external appearance of the donor site was well contoured and no cosmetic deformity was noted during the follow-up period. Conclusion: This modified technique of harvesting iliac crest lessens the postoperative pain and avoid chronic pain at the graft. In addition, it preserves the shape and the contour of the iliac crest and avoids cosmetic deformities.
Keywords: Spinal fusionㆍBone graftㆍIliac crest


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